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Project ECHO: An Effective Means of Increasing Palliative Care CapacityThis article provides insight on the work of 7 of Project ECHO’s replicating partners from around the world who are implementing the ECHO model to address the knowledge gap that underlies integrated palliative care crisis.
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Impact of a Patient Incentive Program on Receipt of Preventive CarePatient financial incentives are a potential mechanism to improve health. In a South African health plan, a patient incentive program is associated with increased prevention.
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Effects of Telephone Counseling on Antipsychotic Adherence and Emergency Department UtilizationA telehealth nursing program used psychological counseling techniques to improve antipsychotic medication adherence, leading to reduced emergency department utilization in a managed Medicaid population.
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Comparison of Healthcare Delivery Systems in Low- and High-Income CommunitiesThis large-scale, national study shows geographic variation in provider supply and hospital access for low- and high-income communities following the Affordable Care Act.
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Patient-Centered Medical Home and Quality Measurement in Small PracticesSmall practices with NCQA patient-centered medical home recognition perform better on quality measures, especially those related to chronic conditions.
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Care Coordination to Increase Referrals to Smoking Cessation Telephone Counseling: A Demonstration ProjectAn intervention to increase tobacco treatment rates through care coordination for telephone counseling was effective in raising referral rates and in achieving excellent long-term abstinence.
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Effect of Management Strategies and Clinical Status on Costs of Care for Advanced HIVAntiretroviral drugs have replaced hospitalization and other services as the most costly component of HIV care, except in patients with especially advanced HIV.
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Risk Adjusting Medicare Advantage Star Ratings for Socioeconomic StatusThe National Committee for Quality Assurance urges socioeconomic risk adjustment to payments, not quality measures.
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Effectiveness and Cost-Effectiveness of Diabetes Prevention Among Adherent ParticipantsOver 10 years, among adherent participants, lifestyle intervention and metformin were effective and cost-effective for diabetes prevention compared with placebo.
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Patient Experience During a Large Primary Care Practice Transformation InitiativeFour years of practice transformation toward comprehensive primary care had little effect on patient experience.
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The Development of Diabetes Complications in GP-Centered HealthcareThis study compared general practitioner–centered healthcare (Hausarztzentrierte Versorgung [HZV]) with non-HZV healthcare in Germany regarding the development of diabetes complications. HZV is associated with reduced risk of diabetes complications.
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Impact of a Managed Controlled-Opioid Prescription Monitoring Program on Care CoordinationManaged care organizations have the opportunity to identify potential opioid misuse and implement care coordination interventions, which can enhance safety and streamline patient pain management.
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Impact of Atypical Antipsychotic Use Among Adolescents With Attention-Deficit/Hyperactivity DisorderA retrospective study of the treatment patterns and economic outcomes associated with off-label atypical antipsychotic use in the treatment of adolescents with attention-deficit/hyperactivity disorder.
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HITECH Spurs EHR Vendor Competition and Innovation, Resulting in Increased AdoptionThis is the first empirical evidence to demonstrate increased competition and innovation in the EHR industry as a result of the HITECH program.
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Tobacco Control in Accountable Care: Working Toward Optimal PerformanceAccountable care organizations are well positioned to leverage a significant impact on tobacco control. A review of the changing landscape of tobacco use can help optimize performance.
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Can Managed Care Plans Reliably Infer the Quality of Cardiac Surgeons' Outcomes?Florida managed care plans observe insufficient outcomes by contracted cardiac surgeons to reliably distinguish quality. Pooling data across insurers or using society data may help.
